NPI | 1730156910 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 218711) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NY 218711) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2023-12-07 |